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General NPI Number Information
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NPI Number | 1245955061
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Entity Type | Organization
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Legal Business Name | STIMSON COUNSELING, INC
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Dates
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Enumeration Date | 10/04/2022
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 4400 SALEM DALLAS HWY NW
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City | SALEM
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State | OR
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Zip | 97304-3338
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Country | US
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Telephone | 209-769-6412
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Fax | 503-990-6828
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Provider Business Mailing Address
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Address Line | 4400 SALEM DALLAS HWY NW
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City | SALEM
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State | OR
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Zip | 97304-3338
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Country | US
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Telephone | 209-769-6412
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Fax | 503-990-6828
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Authorized Official
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Title or Position | OWNER
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Name | MS. DARLENE M STIMSON
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Credential | LMFT
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Telephone | 209-769-6412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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